Status Insurance Brokers

Property Owner Details (Client)

Client First Name

Client Last Name

Client Email

Client Mobile Number

Client Landline Number

Report Information

Name for the report to be made in: (if different to client)

Name for the invoice to be made in: (if different to client)

Send a copy of the report to:

Send Report to Broker

Send Report to Referrer

Access Details

Please complete the contact details of the access person (who will we contact to organise a suitable time to inspect).

First Name

Last Name

SMS Number

Landline Number

Access Details

Property Information

Address 1

Address 2

Suburb/Town

Postal Code

Country

Previous Amount Insured

Do you have scaled architectural design floor plan drawings of all buildings and structures that you want included in our report? *

* If you do not have these plans available, our quotes team will reach out to you to discuss

Please confirm if you need us to exclude any building components that were supplied and installed by the tenant (tenant fit-out work)? If so, please provide a clearly defined list of all the tenant fit-out work.

Please confirm the extent of the property including number of buildings and also please provide the correct and whole street address so we can ensure we are inspecting all buildings required.

Please confirm if you need us to separate mulitple buildings in the report.

Site Specific Notes

Divider Text

Do you require a Tax Depreciation Schedule for this Property?

Please contact me for a quote

We can typically conduct both kinds of inspections at the same time, and therefore offer a reduced fee if the services are requested at the same time.

Broker Details

First Name

Last Name

Country

SMS Number

Information Request Contact

Who is the best person to contact if MCGQS Staff need to ask any further questions or require any additional info relating to this Job?

First Name

Last Name

Country

Mobile Number

Submit

The Flat Rate Fee for this report is $600.00 +GST**

**for properties with suitable scaled floor plans provided. Additional fees may apply if these conditions are not met.

For any additional documents you wish to add, please email to contact@mcgqs.com.au with the property address in the subject line.